{"reporting_entity_name":"Molina-Healthcare-of-Mississippi","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-22","version":"2.0.0","provider_references":[{"provider_group_id":213809,"network_name":["MS NETWORK"],"provider_groups":[{"npi":[1396805578],"tin":{"type":"ein","value":"587536824","business_name":"HAMILTON CHIROPRACTIC CENTER PLLC"}},{"npi":[1629687512,1720183866],"tin":{"type":"ein","value":"453806985","business_name":"RICHARD E LIZAK DC"}},{"npi":[1083752646,1346389582],"tin":{"type":"ein","value":"640923144","business_name":"CHIROPRACTIC CENTER OF MCCOMB"}},{"npi":[1649367277],"tin":{"type":"ein","value":"721364073","business_name":"MERCIER CHIROPRACTIC CLINIC"}},{"npi":[1912184441],"tin":{"type":"ein","value":"640405624","business_name":"YALOBUSHA GENERAL HOSPITAL MEDICAL ARTS BLDG"}},{"npi":[1194896902],"tin":{"type":"ein","value":"640862531","business_name":"HODA CHIROPRACTIC CLINIC"}},{"npi":[1467790337,1669527503],"tin":{"type":"ein","value":"202822577","business_name":"POPLARVILLE FAMILY CHIROPRACTIC"}},{"npi":[1124116777],"tin":{"type":"ein","value":"471977202","business_name":"HENNINGTON WELLNESS CENTER LLC"}},{"npi":[1992041842],"tin":{"type":"ein","value":"454197896","business_name":"KNIGHTON CHIROPRACTIC AND WELLNESS INC"}},{"npi":[1477719847],"tin":{"type":"ein","value":"263078685","business_name":"NICHOLAS ANDREW LOCOCO DC"}},{"npi":[1346409851],"tin":{"type":"ein","value":"471578982","business_name":"OCEAN SPRINGS CHIROPRACTIC"}},{"npi":[1780980235],"tin":{"type":"ein","value":"814277877","business_name":"CORNERSTONE CHIROPRACTIC"}},{"npi":[1134467996],"tin":{"type":"ein","value":"811924128","business_name":"NORVILLE CLINIC"}},{"npi":[1609953843],"tin":{"type":"ein","value":"431989826","business_name":"ACTION CHIROPRACTIC INC"}},{"npi":[1124356910],"tin":{"type":"ein","value":"721436720","business_name":"THE CENTER FOR CHILDREN AND FAMILIES"}},{"npi":[1366158859,1528448685,1902859176],"tin":{"type":"ein","value":"831433429","business_name":"MID SOUTH CHIROPRACTIC OF HORN LAKE PLLC"}},{"npi":[1093952822],"tin":{"type":"ein","value":"472461017","business_name":"HEALINGS HANDS INC"}},{"npi":[1174656417],"tin":{"type":"ein","value":"743057185","business_name":"MILLER WHITMER FAMILY CHIROPRACTIC"}},{"npi":[1528063260],"tin":{"type":"ein","value":"640877320","business_name":"HEMBREE CHIROPRACTIC CARE"}},{"npi":[1124192828],"tin":{"type":"ein","value":"640918070","business_name":"ARMSTRONG KING CHIROPRACTIC CTR"}},{"npi":[1154435337],"tin":{"type":"ein","value":"640889249","business_name":"DR JOHN  L SANDIFER  DC"}},{"npi":[1134267578],"tin":{"type":"ein","value":"640862375","business_name":"DELTA MEDICAL GROUP"}},{"npi":[1235418807],"tin":{"type":"ein","value":"453570208","business_name":"ADVANCED CHIROPRACTIC AND WELLNESS"}},{"npi":[1013501741,1528448685],"tin":{"type":"ein","value":"844253931","business_name":"MID SOUTH CHIROPRACTIC OF CLARKSDALE PLLC"}},{"npi":[1013151638],"tin":{"type":"ein","value":"272195189","business_name":"DEWITT CHIROPRACTIC LLC"}},{"npi":[1508981937],"tin":{"type":"ein","value":"426652077","business_name":"POWELL CHIROPRACTIC CENTER"}},{"npi":[1477853315],"tin":{"type":"ein","value":"831509718","business_name":"BAROUSSE CHIROPRACTIC"}},{"npi":[1629010467],"tin":{"type":"ein","value":"455578045","business_name":"CHIROPRACTIC EVOLVED LLC"}},{"npi":[1528448685],"tin":{"type":"ein","value":"474393750","business_name":"MID SOUTH CHIROPRACTIC PLLC"}},{"npi":[1811318199],"tin":{"type":"ein","value":"464560373","business_name":"AMORY CHIROPRACTIC"}},{"npi":[1033266770,1780731422,1902953631],"tin":{"type":"ein","value":"270852410","business_name":"SANCHEZ CHIROPRACTIC CENTER"}},{"npi":[1598156523],"tin":{"type":"ein","value":"994406105","business_name":"BUCHANAN CHIROPRACTIC LLC"}},{"npi":[1093308066,1184452187,1649703810,1750653572],"tin":{"type":"ein","value":"811334959","business_name":"THE CHIRO PLACE OF COLLIERVILLE PLLC"}},{"npi":[1528448685,1598898314],"tin":{"type":"ein","value":"822387116","business_name":"MID SOUTH CHIROPRACTIC OF HORN LAKE PLLC"}}]}],"in_network":[{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97014","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97014","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS HOT/COLD PACKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97010","description":"APPLICATION MODALITY 1 OR GT  AREAS HOT/COLD PACKS","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS HOT/COLD PACKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97010","description":"APPLICATION MODALITY 1 OR GT  AREAS HOT/COLD PACKS","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98943","description":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98943","description":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":20.0,"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":20.0,"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL/MT SUPP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3020","description":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL/MT SUPP EA","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW-LVL LASER THER DYN PHOTONIC  AND  THERMOKIN NRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0552T","description":"LOW-LVL LASER THER DYN PHOTONIC  AND  THERMOKIN NRG","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW-LVL LASER THER DYN PHOTONIC  AND  THERMOKIN NRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0552T","description":"LOW-LVL LASER THER DYN PHOTONIC  AND  THERMOKIN NRG","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"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":"2022","billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99080","description":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99080","description":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","negotiated_rates":[{"provider_references":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213809],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}